I-Chemotherapy vs. Imisebe: Zihluka Kanjani?

-Delile

• Uyini umehluko omkhulu phakathi kwe-chemotherapy ne-radiation?
• Okufanele ukwazi ngamakhemikhali
• Isebenza kanjani i-chemotherapy
• Ukulethwa ngamakhemikhali
• Imiphumela emibi ye-chemotherapy
• Yini okufanele uyazi ngemisebe
• Imisebe isebenza kanjani
• Ukulethwa kwemisebe
• Imiphumela emibi yokwelashwa ngemisebe
• Kunini lapho ukwelashwa okungcono kunokunye?
• Ngabe i-chemo nemisebe ingasetshenziswa ndawonye?
• Ukubhekana nemiphumela emibi
• Okubalulekile

Ukuxilongwa komdlavuza kungakhungathekisa futhi kuguqule impilo. Kodwa-ke, kunezindlela eziningi zokwelashwa ezisebenza ukulwa namaseli omdlavuza futhi uwavimbele ekusakazekeni.

Ukwelashwa ngamakhemikhali nokwelashwa ngemisebe ngezinye zezindlela eziphumelela kakhulu zokwelapha izinhlobo eziningi zomdlavuza. Yize benezinhloso ezifanayo, kunomehluko omkhulu phakathi kwalezi zinhlobo ezimbili zokwelashwa.

Kule ndatshana, sizosiza ekuchazeni ukuthi lezi zindlela zokwelapha zisebenza kanjani, zihluke kanjani komunye nomunye, nokuthi yiziphi izinhlobo zemiphumela emibi ezingaba nayo.

Uyini umehluko omkhulu phakathi kwe-chemotherapy ne-radiation?

Umehluko omkhulu phakathi kwe-chemo ne-radiation yindlela ahanjiswa ngayo.

I-Chemotherapy ngumuthi onikezwa ukwelapha umdlavuza owenzelwe ukubulala amangqamuzana omdlavuza. Imvamisa ithathwa ngomlomo noma inikezwe ngokufakwa emthanjeni noma ethekwini lemithi.

Kunezinhlobo eziningi zemithi yokwelashwa ngamakhemikhali. Udokotela wakho angakunikeza uhlobo olusebenza kakhulu ekwelapheni uhlobo oluthile lomdlavuza.

I-Chemotherapy ingaba nemiphumela emibi eminingi, kuya ngohlobo olutholayo.

Ukwelashwa ngemisebe kuhilela ukunikeza imithamo ephezulu yemishayo yemisebe ngqo kwisimila. Imishayo yemisebe iguqula ukwakheka kwe-DNA kwalesi simila, isenze sinciphise noma sife.

Lolu hlobo lokwelashwa komdlavuza lunemiphumela engemihle kune-chemotherapy ngoba ibhekise endaweni eyodwa kuphela yomzimba.

Okufanele ukwazi ngamakhemikhali

Isebenza kanjani i-chemotherapy

Imithi yokwelashwa ngamakhemikhali yenzelwe ukubhubhisa amaseli emzimbeni ahlukana ngokushesha - ikakhulukazi, amangqamuzana omdlavuza.

Kodwa-ke, kunamaseli kwezinye izingxenye zomzimba wakho nawo ahlukana ngokushesha kepha akuwona amangqamuzana omdlavuza. Izibonelo zifaka amaseli wakho:

• izinwele zezinwele
• izinzipho
• umgudu wokugaya ukudla
• umlomo
• umkantsha

I-Chemotherapy ingahlosela futhi ihlose lawa maseli ngokungenhloso. Lokhu kungadala imiphumela engemihle ehlukahlukene.

I-oncologist yakho (udokotela womdlavuza) uzokwazi ukunquma ukuthi hlobo luni lwemithi yokwelashwa ngamakhemikhali oluzosebenza kakhulu ekwelapheni uhlobo lomdlavuza onalo.

Ukulethwa ngamakhemikhali

Uma uthola i-chemotherapy, inganikezwa ngezindlela ezahlukahlukene:

• ngomlomo (ngomlomo)
• ngemithambo (ngomthambo)

I-Chemo ivame ukunikezwa "kumjikelezo," okusho ukuthi inikezwa ngezikhathi ezithile ezithile - imvamisa njalo emavikini ambalwa - ukukhomba amangqamuzana omdlavuza ngesikhathi esithile kumjikelezo wabo wokuphila.

Imiphumela emibi ye-chemotherapy

Ungahle ube nemiphumela emibi nge-chemotherapy.Uhlobo lwemiphumela emibi onayo luzoya ngohlobo lwe-chemotherapy olutholayo nezinye izimo zezempilo okungenzeka ukuthi usuvele unazo.

Eminye imiphumela emibi ye-chemotherapy ifaka:

• isicanucanu nokuhlanza
• ukulahleka kwezinwele
• ukukhathala
• ukutheleleka
• izilonda zomlomo noma zomphimbo
• i-anemia
• isifo sohudo
• ubuthakathaka
• Ubuhlungu nokuba ndikindiki ezithweni (i-peripheral neuropathy)

Kubalulekile ukukhumbula ukuthi imishanguzo ehlukene ye-chemo idala imiphumela emibi ehlukile, futhi wonke umuntu uphendula i-chemo ngokuhlukile.

Yini okufanele uyazi ngemisebe

Imisebe isebenza kanjani

Ngokwelapha ngemisebe, imishayo yemisebe igxile endaweni ethile emzimbeni wakho. Imisebe iguqula ukwakheka kwe-DNA kwesimila, kubangele ukuthi amangqamuzana afe esikhundleni sokuphindaphindeka futhi mhlawumbe asabalale.

Imisebe ingasetshenziswa njengendlela eyinhloko yokwelapha nokubhubhisa isimila, kepha ingasetshenziswa futhi:

• ukuncipha isimila ngaphambi kokusikhipha ngokuhlinzwa
• ukubulala noma yimaphi amangqamuzana omdlavuza asele ngemuva kokuhlinzwa
• njengengxenye yendlela ehlangene yokwelashwa ne-chemotherapy
• lapho unesimo sezempilo esingakuvimbela ekutholeni i-chemotherapy

Ukulethwa kwemisebe

Kunezinhlobo ezintathu zokwelashwa ngemisebe okusetshenziselwa ukwelapha umdlavuza:

• Imisebe yangaphandle yesigxobo. Le ndlela isebenzisa imishayo yemisebe evela emshinini egxila ngqo endaweni yesimila sakho.
• Imisebe yangaphakathi. Ebizwa nangokuthi i-brachytherapy, le ndlela isebenzisa imisebe (kungaba uketshezi noma okuqinile) ebekwe ngaphakathi komzimba wakho eduze kwalapho isimila sikhona.
• Imisebe ehlelekile. Le ndlela ifaka imisebe eyipilisi noma ifomu eliketshezi elithathwa ngomlomo noma lifakwe emthanjeni.

Uhlobo lwemisebe oyitholayo luzoya ngohlobo lomdlavuza onawo, nokuthi i-oncologist yakho icabanga ukuthi izosebenza kahle kangakanani.

Imiphumela emibi yokwelashwa ngemisebe

Njengoba ukwelashwa ngemisebe kugxile endaweni eyodwa yomzimba wakho, ungahle ube nemiphumela emibi embalwa kunaleyo yokwelashwa ngamakhemikhali. Noma kunjalo, kusengathinta amaseli anempilo emzimbeni wakho.

Imiphumela emibi yemisebe ingafaka:

• izingqinamba zokugaya ukudla njengokucanuzela kwenhliziyo, ukugabha, amajaqamba esiswini, uhudo
• izinguquko zesikhumba
• ukulahleka kwezinwele
• ukukhathala
• ukungasebenzi ngokocansi

Kunini lapho ukwelashwa okungcono kunokunye?

Kwesinye isikhathi, olunye lwalezi zindlela zokwelapha lungasebenza kangcono kunolunye ekwelapheni uhlobo oluthile lomdlavuza. Ngezinye izikhathi, i-chemo nemisebe ye-radiation empeleni kuyakwazi ukuhambisana futhi kunikezwe ndawonye.

Uma uhlangana nethimba lakho lokunakekela umdlavuza, i-oncologist yakho izokunikeza izinketho ezizosebenza kakhulu ekwelapheni uhlobo lwakho lomdlavuza.

Ngokubambisana nethimba lakho lokunakekela umdlavuza, unganquma ngenketho yokwelashwa ekufanele.

Ngabe i-chemo nemisebe ingasetshenziswa ndawonye?

I-Chemo nemisebe kwesinye isikhathi zisetshenziswa ndawonye ukwelapha izinhlobo ezithile zomdlavuza. Lokhu kubizwa ngokuthi ukwelashwa okufanayo. Lokhu kunganconywa uma umdlavuza wakho:

• ayikwazi ukususwa ngokuhlinzwa
• kungenzeka ukuthi isabalalele nakwezinye izindawo zomzimba wakho
• ayiphenduli ohlotsheni oluthile lokwelashwa

Ukubhekana nemiphumela emibi

Ngakho kokubili ukwelashwa ngamakhemikhali nemisebe, kunamathuba amaningi okuba nemiphumela engemihle. Kodwa lokho akusho ukuthi awukwazi ukwenza lutho ngabo.

Nawa amanye amathiphu wokubhekana nemiphumela emibi yokwelashwa komdlavuza:

• Buza udokotela wakho ngemithi ongayithatha ukwelapha isicanucanu nokuhlanza.
• Beka iphedi yotshwala ebhulohweni lekhala lakho uma uhlangabezana nesicanucanu.
• Yidla ama-popsicles ukuze unciphise izinhlungu ezilondeni zomlomo.
• Zama ukuphuza i-ginger ale noma itiye le-ginger ukuze unciphise isicanucanu.
• Yidla ama-ice chips ukuze uhlale unamanzi amaningi.
• Hlukanisa ukudla kwakho, ukuze kube kuncane futhi kudliwe kalula. Gxila ekudleni ukudla okunomsoco omningi namaprotheni.
• Geza izandla zakho njalo ukuze ugweme ukuthola ukutheleleka.
• Zama ukutshopa. Ngokusho kwalokhu, enye indlela yokwelapha ingasiza ekunciphiseni isicanucanu nokuhlanza okubangelwa ukwelashwa ngamakhemikhali.

Hlala ukhuluma nethimba lakho lezempilo nganoma yimiphi imiphumela emibi ongaba nayo. Bazokwazi ukukunikeza izeluleko ezithile kanye nemiyalo yokuthi yini ongayenza ukusiza ukukhulula izimpawu zakho.

Okubalulekile

I-Chemotherapy kanye ne-radiation yizinhlobo ezimbili ezivame kakhulu zokwelashwa komdlavuza. Ukuthi uthola i-chemo noma i-radiation kuzoya ngohlobo nendawo yomdlavuza wakho, kanye nesimo sakho sempilo jikelele.

Umehluko omkhulu phakathi kwe-chemo ne-radiation yindlela ahanjiswa ngayo.

I-Chemotherapy ihanjiswa ngokufakwa ngaphakathi emthanjeni noma ethekwini lemithi, noma ingathathwa ngomlomo. Ngokwelapha ngemisebe, imishayo yemisebe igxile endaweni ethile emzimbeni wakho.

Inhloso yazo zombili izinhlobo zokwelashwa ukubulala amangqamuzana omdlavuza ngenkathi unciphisa imiphumela kuwo wonke umzimba wakho.